An update to the recently published rapid review of recommendations for the re-opening of dental services is now available.
The update includes 5 more counties bringing the total to 17 sets of recommendations from 16 different countries.
There are some changes to the key messages:-
- This review reports on national recommendations for the re-structuring and re-opening of dental services from 16countries.
- There is a highly variable level of detail given across international sources.
- Most sources recommend patient triage by telephone; some recommend also temperature screening at reception.
- Most sources recommend avoiding aerosol generating procedures (AGPs),ifpossible.
- Most sources recommend surgical masks for non-COVID-19 cases not requiring AGPs.
- Most sources recommend filtering facepiece class2 (FFP2, equivalent to N95) masks for non-COVID-19 casesundergoing AGPsand all suspected or confirmed COVID-19 cases undergoing any procedure.
- Sources include recommendations on how to reduce the risk of transmission (e.g. use of pre-operative mouthwashes; high volume suction; rubber dam; and Personal ProtectiveEquipment[PPE]).
- Most sources recommend cleaning and disinfection procedures.
- Acrosssources,for most statementsthere is no referenced, underpinning evidenceandsome of themare unlikely to have strong (or any) research evidence.
- All sources emphasise the need to focus on activities that minimise risk (to staff/patients/public) but still support high quality clinical care.
- There is a need to consider the inter-relationship between the appropriate use of PPE (including donning and doffing), AGPs and interventions to reduce aerosol generation.
The full review is available for download at Cochrane Oral Health